EVAN R WADSWORTH


Address: 1199 Hadley Rd, Mooresville, IN 46158-1788
Phone: 3178312273

EVAN R WADSWORTH (NPI# 1023518347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023518347
Entity Type Individual
Full Name EVAN R WADSWORTH
Credential PA
Practice Address 1199 Hadley Rd
Mooresville
IN 46158-1788
Mailing Address Po Box 781076
Detroit
MI 48278-1076
Practice Telephone 3178312273
Practice Fax Number 3178319347
Mailing Telephone 3175284800
Mailing Fax Number 3178651479
Enumeration Date 2018-02-13
Last Update Date 2019-11-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10002428A IN Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program IN Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IN 300012898 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4035 Mimosa Dr, Columbus, IN 472017200 3177062361
1703 W Stones Crossing Rd Ste 210, Greenwood, IN 461438558 3178312273

Office Location

Street Address 1199 HADLEY RD
City MOORESVILLE
State IN
Zip Code 46158-1788

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902880743 Edward M Keating Orthopaedic Surgery 1199 Hadley Rd, Mooresville, IN 46158-1788 2005-12-05
1588271571 Morgan Kelsey Ferguson Physical Therapist 1199 Hadley Rd, Mooresville, IN 46158-1788 2020-09-24
1851837660 Joan Kane Nurse Practitioner 1199 Hadley Rd, Mooresville, IN 46158-1788 2017-01-18
1881989309 Ann Elizabeth Purdy Physician Assistant 1199 Hadley Rd, Mooresville, IN 46158-1788 2011-06-13
1558681239 Patricia A. Madinger Physical Therapist 1199 Hadley Rd, Mooresville, IN 46158-1788 2010-06-04
1235462540 Melanie Sanders Orthopaedic Surgery 1199 Hadley Rd, Mooresville, IN 46158-1788 2009-09-18
1447267182 Brenda F Heinen Nurse Practitioner 1199 Hadley Rd, Mooresville, IN 46158-1788 2006-08-02
1235146630 Silas James Mcghee Physician Assistant 1199 Hadley Rd, Mooresville, IN 46158-1788 2006-08-01
1336101062 Timothy J Williams Orthopaedic Surgery 1199 Hadley Rd, Mooresville, IN 46158-1788 2006-04-06
1083675656 Joint Replacement Surgeons of Indiana Orthopaedic Surgery 1199 Hadley Rd, Mooresville, IN 46158-1788 2006-03-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396352613 Victoria Shay Parsons Pharmacist 523 Sr-67 N, Mooresville, IN 46158 2020-09-30
1083150049 Terri Joann Hughes Hearing Instrument Specialist Mobile / Home Care, Mooresville, IN 46158 2017-01-16
1578938650 Harrison County Hospital Skilled Nursing Facility 302 North Johnson Road, Mooresville, IN 46158 2015-12-01
1598100323 William Oh Colon & Rectal Surgery 1215 Hadley Rd Ste 201, Mooresville, IN 46158 2013-05-07
1134405855 Antonios Spiros Kantzavelos Pharmacist 115 Fields Road, Mooresville, IN 46158 2011-10-26
1588940308 Sarah E Grindle Pharmacist 115 Fields Rd., Mooresville, IN 46158 2011-10-25
1487884805 Abundant Life Chiropractic Chiropractor 902 N Old State Rd 67, Mooresville, IN 46158 2009-07-20
1770614760 W F Kirby Optometrist 11625 N Oldfield Ln, Mooresville, IN 46158 2007-03-08
1730269192 Travis L Bauer Dentist 420 S Indiana St, Mooresville, IN 46158 2006-10-17
1457396707 Sidney L Gilbert Pediatrics 100 Town Center Drive, Suite B, Mooresville, IN 46158 2006-06-19
Find all providers in zip 46158

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275148421 James Cameron Fields Physician Assistant 532 Bridgestone Dr, Mooresville, IN 46158-7304 2020-09-14
1679103055 Aaron Cole Chapman Physician Assistant 260 Mccrary Rd, Mooresville, NC 28117-8859 2020-01-24
1639733017 Margaret Ann Small Physician Assistant 114 Gateway Blvd Ste D, Mooresville, NC 28117-5595 2019-05-01
1255728044 Veronica Bradley Physician Assistant 149 Plantation Ridge Dr Ste 190, Mooresville, NC 28117-9178 2015-04-20
1881009058 Michelle Billups Physician Assistant 150 Fairview Rd Ste 230, Mooresville, NC 28117 2014-06-26
1770919995 Donna Michele Forsee Physician Assistant 106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117-7134 2013-09-19
1447698303 Bradley James Hicks Physician Assistant 170 Medical Park Rd Ste 102, Mooresville, NC 28117-8541 2013-06-12
1427396886 Kristin Nicole Oden Physician Assistant 106 Corporate Park Dr # 200300, Mooresville, NC 28117-7133 2013-01-19
1063746444 Sarah Noelle Brandt Physician Assistant 123 Professional Park Dr Ste 200, Mooresville, NC 28117 2009-10-01
1184848137 Michelle Elizabeth Mccracken-brown Physician Assistant 1000 Lowes Blvd, Mooresville, NC 28117-8520 2007-04-12
Find all providers in MOORESVILLE

Competitor

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City MOORESVILLE
Zip Code 46158

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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